ICQ

Registration Form

To be added to the phat lil' list, please fill out the form below. *note*

What is your real name?

What is your e-mail address?

What is your nickname?

What is your ICQ # (UIN)?

Are you a Christian?
Yes
No

Do you have any comments?

Thank you:
click here to return to the main page

*Warning*: This form has been proven to cause cancer in lab mice.